DR. GRAYSON GOLDMAN (DO) – Emergency Medicine Physician, NPI 1174933253

DR. GRAYSON GOLDMAN (DO) is a healthcare provider. based in Johnstown, Pennsylvania. specializing in Emergency Medicine Physician. They hold the professional credentials DO. They hold a License No. 0102205628 (VA). The NPI Number for DR. GRAYSON GOLDMAN (DO) is 1174933253

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. GRAYSON GOLDMAN (DO)
NPI
1174933253
Phone
(814) 534-3745
Address
1086 FRANKLIN ST
Enumeration Date
29 April 2014
Last Update Date
19 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8045947300
Graduation Year
2014 (12 years ago)
PAC ID
2163640442
Group Practice PAC ID
7517021652
Professional Enrollment ID
I20191029001322
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for DR. GRAYSON GOLDMAN (DO)

  • 1086 FRANKLIN ST

    JOHNSTOWN, PA 159054305

    Phone: (814) 534-3745

    Fax: (814) 534-5677

    Type: Mailing

  • 5801 BREMO RD

    RICHMOND, VA 232261907

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $534.

Total Amount is formed as General ($534) + Research ($0) + Ownership ($0) = $534.

Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($337).

Total Amount

$534

General + Research + Ownership

Payments

9

Total payment records

General Amount

$534

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-10-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160510000274IEmergency MedicinePATBD
I20191029001322IEmergency MedicineVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making341337$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only221210$0
99284Emergency department visit with moderate level of medical decision making195193$0
99291Critical care, first 30-74 minutes7675$0
View full utilization report →

Insurance plans in this area (ZIP 15905)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517021652View full group profile

Reviews

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Frequently asked questions

Can I cross-check DR. GRAYSON GOLDMAN (DO) using NPI 1174933253?
NPI 1174933253 belongs to DR. GRAYSON GOLDMAN (DO); compare other details if you need extra assurance.
Active or inactive — what applies to DR. GRAYSON GOLDMAN (DO)?
You should see DR. GRAYSON GOLDMAN (DO) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. GRAYSON GOLDMAN (DO)?
At a glance, DR. GRAYSON GOLDMAN (DO) is tied to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Pennsylvania is DR. GRAYSON GOLDMAN (DO) registered?
Use Johnstown, Pennsylvania as the headline location for DR. GRAYSON GOLDMAN (DO) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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